Medical Genetics Test Details

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The American Medical Association (AMA) Current Procedural Terminology (CPT) codes and Healthcare Common Procedure Coding System (HCPCS) codes listed, are provided for informational purposes only. The codes reflect our interpretation of CPT/HCPCS coding requirements based upon AMA guidelines published annually. CPT/HCPCS codes are provided only as guidance to assist clients with billing. Baylor Genetics strongly recommends that clients confirm CPT/HCPCS codes with their Medicare Administrative Contractor (MAC) or other payer being billed, as requirements may differ. CPT coding is the sole responsibility of the billing party. Baylor Genetics assumes no responsibility for billing errors due to reliance on the CPT codes listed. Please direct any questions regarding CPT coding to the payer being billed.

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Oncology FISH Analysis- Multiple Myeloma IgH Rearrangement FISH Panel Multiple Myeloma IGH Reflex FISH Panel \| Oncology FISH Analysis - Multiple Myeloma IGH Reflex FISH Panel
Test Information:	The Multiple Myeloma IGH Reflex FISH Panel is performed when IGH is rearranged. This panel is used to identify the IGH partner gene in myeloma, which may have prognostic impact. Results of this test must always be interpreted in the context of relevant clinical and pathological data, and should not be used alone for a diagnosis of malignancy. When ordered with the Multiple Myeloma FISH Panel (test code 8015), this test will only be performed if IGH is rearranged or if we are notified that the patient has a previous IGH rearrangement. NOTE: Plasma cell enrichment will be performed on bone marrow samples unless otherwise instructed or if the plasma cell population is below acceptable levels for enrichment. Samples should be submitted within 72 hours of collection. It is recommended that flow cytometry and pathology reports accompany the sample to help assess the plasma cell population. If enriched samples are insufficient to complete the full panel, Baylor Genetics will prioritize the FGFR3/IGH t(4;14) probe.
Test Details
Test Code:	8790
Test Includes:	FGFR3/IGH t(4;14), CCND1/IGH t(11;14), IGH/MAF t(14;16)
Special Notes:	For additional information on the FISH probes in this panel and the frequency and prognostic significance of specific chromosomal abnormalities, please visit the Cancer Fish Probes List.
Technical Information
Methodology:	Fluorescent in Situ Hybridization (FISH) Analysis

Sample & Shipping Information
Test Requisition:	Tumor Analysis
Specimen Type:	Bone Marrow
Requirements:	Draw bone marrow in a Sodium Heparin (green-top) tube(s) and send 3-5 cc (Adults/Children) or 2 cc (Infant <2 years).
Shipping Conditions:	Ship at ambient temperature (18-25°C/64-77°F) in an insulated container by overnight courier. Specimen should arrive in the laboratory within 48 hrs of collection. Do not heat or freeze.
Specimen Type:	Whole Blood
Requirements:	Draw whole blood in a Sodium Heparin (green-top) tube(s) and send 3-5 cc (Adults/Children) or 2 cc (Infant <2 years). (White count > 15,000 with approximately 10% blasts).
Shipping Conditions:	Ship at ambient temperature (18-25°C/64-77°F) in an insulated container by overnight courier. Specimen should arrive in the laboratory within 48 hrs of collection. Do not heat or freeze.

Billing Information
Turn Around Time:	3 - 4 days after initial MM FISH Panel with rearranged IGH
List Price:	*For Insurance or Institutional Prices, please call.
CPT Codes:	88271x3, 88275x3

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